Chapter Two Introduction and Program Requirements

Chapter Two Introduction and Program Requirements Chapter 2 - Page 41

Page 42 - Chapter 2

2.1 Introduction NIH Master Plan 2003 Update The National Institutes of Health (NIH) is the focal point of the federal government for health research and is one of the world s foremost biomedical research institutions. The NIH mission is to discover new knowledge that will lead to better health for all. To achieve that mission, nearly eighty percent of the total NIH budget is expended in the form of peer-reviewed, competitively-awarded research grants, cooperative agreements, and contracts to nearly 50,000 principal investigators at more than 1,700 institutions across the country including universities, medical schools, and hospitals. In addition, some 2,000 research projects are conducted in the NIH intramural laboratories and at the NIH Clinical Center. Research is conducted at both the basic and clinical levels, encompassing studies related to the prevention, diagnosis, treatment and cure of the many diseases that afflict the men, women and children of the world. In addition, the basic research supported by NIH provides the foundation for the nation s pharmaceutical and biotechnology industries. As one measure of the agency s excellence in research, it should be noted that NIH-supported investigators won over 107 Nobel Prizes from 1939 to 2002. 2.2 Authorization & Applicability The approved NIH 1995 Master Plan and EIS were supplemented by Amendments to the Master Plan and EIS in June, 1999. This NIH Master Plan 2003 Update and the accompanying Environmental Impact Statement (EIS) are prepared pursuant to the policies contained in NCPC s Master Plan Submission Requirements. (Approved September 6, 1984 and amended November 7, 1985 and November 3, 1994). Other federal regulations applicable to this NIH Master Plan 2003 Update and EIS are listed in Appendix A. 2.3 Purpose and Scope of the NIH Master Plan 2003 Update The most recent Master Plan for the Bethesda campus was approved in 1996. The plan was amended in 1999 to accommodate development changes in the Northwest Quadrant of the campus. Since then, continued growth on and off the Bethesda campus has resulted in a need for further revisions to the campus Master Plan. As stated in the 1995 Master Plan, NIH intends to update the Master Plan at approximately five year intervals. This Update, although delayed by the NIH response to national security needs, is in keeping with that intention. Late in 1992, NIH began the process of developing a new 20-year Master Plan. Campus population projections were derived from exhaustive interviews of the NIH Institutes, Centers and Divisions and campus needs were identified. A draft NIH Master Plan and EIS for the Bethesda campus were prepared and submitted for agency and public review in fall 1993. Traffic and other environmental concerns were raised by the community and the staffs of NCPC and M-NCPPC due to the population used for campus planning. In March 1994, following fundamental policy changes at the NIH and in the federal government, the draft Master Plan and EIS were withdrawn from the public review process. The NIH began a comprehensive review of the basic assumptions of Chapter 2 - Page 1

the Master Plan to incorporate Administration and NIH policies related to streamlining efforts, and to provide for an enhanced involvement of the neighboring communities. At the request of Congress, an External Advisory Committee was formed in late 1993 to review the role, size, and cost of the NIH intramural research program in view of prospective downsizing of the government and proposals to balance the federal budget. The Committee reviewed NIH intramural research policies, procedures, as well as facilities. Four options for the renewal of the Clinical Center Complex were considered, including the Total Replacement Facility. The External Advisory Committee concluded that construction of a new inpatient hospital on a smaller scale than previously proposed in the 1993 Draft Master Plan, and renovation of the remainder of the Clinical Center was more realistic than a total replacement. The committee report was published in April 1994. After further consultation between NIH and high level government officials, it was determined that NIH faced personnel and budget constraints in the intramural research program, at least through the turn of the century. All the above mentioned factors prompted significant changes in the direction of the Master Plan. Growth of the campus population in the next twenty years was therefore anticipated to be limited by mandated reductions in staff through the year 2000, offset by a small growth largely from consolidation of intramural staff on campus from locations off-site. The total increase of personnel on campus over the next 20 years was anticipated to be not more than 10% over the 1993 population of 16,350. This was the population premise for the 1995 Master Plan. In actuality, campus employment has grown faster than previously anticipated. Over the decade, Congress and two Administrations have provided increased support for NIH programs at unexpected high levels. This has resulted in a growth of personnel on the Bethesda campus - despite increased leasing of off-campus space, to 17,639 in 2000 - a level expected in the 1995 Master Plan to be reached nearer to 2020. In order to accomplish the NIH mission, it is imperative that NIH update its long range master plan to continue to address the issues of facility requirements, prudent land use, planning and orderly future development. This need has become even more critical in light of key projects and programs, planned, underway, or soon-to-be-completed including the Clinical Research Center (CRC), the Clinical Center renovations, new laboratories in the Neuroscience Research Center (Building 35), Laboratory Building 33, a new Fire Station (Building 51), the Family Lodge (Building 65), an addition to the Children s Inn (Building 62) and expansion of the Central Utilities Plant, (Building 11). The objective of the NIH 1995 Master Plan and this 2003 Update is to provide a format for the reasoned and orderly development of the Bethesda campus that values and builds on existing resources, corrects existing deficiencies and meets changing needs through new construction that renews obsolescent facilities through renovation, and attempts to set forth implementation priorities and a logical sequencing of planned development. It is not intended to be a specific design and construction program, but rather a framework within which design and construction can occur for actual projects over four phases in the next twenty years as the programmatic needs upon which the plan is based arise. Nor does it attempt to anticipate unpredictable budgets, or congressional and presidential priorities and mandates. The objective has been to base the Master Plan solely on the NIH s best estimate of where the science is going on the premise that the more inclusive the plan, the more receptive it will be to a variety of future development possibilities. Page 2 - Chapter 2

The ongoing pressures on campus facilities often mandate acquiring space before the federal construction appropriations process can be completed; the NIH s leasing of local off-campus NIH workplaces, therefore, will continue. The NIH is in the process of conducting a study of its strategies for locating and funding off-campus facilities simultaneously with this Update of the Master Plan for the main campus. The relationship of the main Bethesda site to these leased facilities and the NIH Animal Center (NIHAC) in Poolesville, Maryland, required a coordinated, broad assessment of future strategies and resulted in development simultaneously of a new Master Plan in 1996 for the NIHAC. Similarly, research activities at outlying installations such as the NCI Frederick facility at Fort Detrick, Maryland; the NIEHS facility at Research Triangle Park, North Carolina; and the NIAID Rocky Mountain Laboratories at Hamilton, Montana, have necessitated a coordinated planning effort to integrate future NIH programs and best utilize the Bethesda campus and these other NIH installations. This NIH Master Plan 2003 Update has been developed for a 20-year planning period, beginning in 2003 and personnel and space estimates have been organized into four phases covering a twenty year period. The NIH intends to continue to update its master plans as required, at approximately five-year intervals. 2.4 Historic Overview and Background 2.4.1 Early Public Health Initiatives The origins of the NIH, and the federal government's involvement in public health issues, can be traced to the mid-nineteenth century in America. Today, the NIH, located on a 310-acre campus in Bethesda, Maryland, continues to serve the nation by providing state-of-the-art research and patient care facilities. Because little was known about medicine or scientific methods in the eighteenth century, the Constitution includes no provisions for federal government involvement in public health. Although government provisions were made for marines and U.S. Navy officers and seamen in 1798-99, the health issues of the public were largely ignored. From the time the nation was founded through the early nineteenth century, illness was considered to be primarily an individual concern. When epidemics struck communities, local leaders would often form temporary committees to deal with the crises. By the mid-nineteenth century, as immigrants poured into America, slum conditions in major cities were thought to be the cause of many diseases and conditions. Squalid conditions encountered by troops and their effects on the soldiers health during the Civil War also contributed to what was at the time termed sanitary science. 1 U.S. Public Health Service In 1872, various interested parties formed the American Public Health Association. Members hoped to assist the federal government in establishing a national bureau that would promote knowledge of the most recent advances in sanitary science. Other organizations, such as the American Medical Association, were also promoting a similar idea, citing the need for a central agency that could coordinate public health programs and provide funding and broad dissemination of knowledge. 2 1 Victoria A. Harden, Inventing the NIH: Federal Biomedical Research Policy, 1887-1937, Baltimore and London: The Johns Hopkins University Press, 1984, pp 9-10. 2 Ibid,. p. 11. Chapter 2 - Page 3

2.4.2 Establishment of the National Institutes of Health Dr. Joseph J. Kinyoun Following the devastating yellow fever epidemic in the Mississippi Valley in 1878, Congress established a National Board of Health, which was the first government institution to award grants for medical research. However, the Board was short-lived, lasting only until 1883, when its appropriation expired. After a lapse of several years, the Marine Hospital Service (later renamed the Public Health and Marine Hospital Service) established the Hygienic Laboratory in 1887 in Staten Island, New York, with the express purpose of studying bacteriological disorders such as cholera. While the focus of the initial research was on disorders affecting seamen, the Laboratory assumed a large responsibility in 1890 for common ailments among the immigrant population. 3 After four years, in 1891, the Hygienic Laboratory needed additional space for research and moved to Washington, D.C., in offices across from the U.S. Capitol. However, in 1895, once again more space was needed and the Laboratory moved to the Old Naval Observatory at 25 th and E Streets, NW, a five-acre parcel that provided space to keep research animals. During this time, the Laboratory work focused on infectious diseases because of their powerful threat to public health. In 1912, the governing agency of the Hygienic Laboratory, the Public Health and Marine Hospital Service, was renamed the Public Health Service, indicating that the primary concern of the agency was the public s health and well-being. Throughout World War I, research concentrated on the needs of military troops, but the public benefit of the research was also a goal. Realizing the importance of the work of the Hygienic Laboratory, Congress passed the Ransdell Act in 1930 which designated the Laboratory as the National Institute of Health (NIH). Authorized to construct research facilities and create a system of research fellowships, the program at the NIH expanded rapidly, and space for conducting experiments as well as additional facilities to house experimental animals was needed. 2.4.3 NIH Moves to Bethesda The philanthropy of Luke and Helen Woodward Wilson, who made a series of land donations to the federal government between 1935 and 1948, proved the catalyst for the NIH s move to Bethesda, Maryland, and its subsequent development into one of the world s leading biomedical research institutes. During the Depression, in the mid-1930s, the Wilsons expressed an interest in donating a portion of their estate to the federal government, if a worthy use could be found. The Wilsons were directed to the National Institute of Health, which was then searching for a farm site on which to raise animals for research purposes. Initially, the new campus at Bethesda was meant to be simply one animal unit building, leaving the main research functions in Washington, D.C. 4 The Wilsons considered the proposed use in light of the impact it would have both on their remaining property and on the region. The Bethesda community was almost unanimous in its opposition, long having fought encroachments that would compromise the prestige of the area. Nonetheless, the Wilsons stood by their conviction and in August 1935 donated 45 acres of land, consisting of the southern portion of their Tree Tops, the Luke I. Wilson Estate 3 Ibid., pp. 12-13 4 Dorthey Pugh, "The National Institues of Health, " excerpted from The Montgomery County Story, 1987, p. 3 Page 4 - Chapter 2

estate, to the United States of America. 5 By coincidence, a few days later the Social Security Act was signed into effect providing, among other things, $2 million per year for the investigation of disease and problems of sanitation. Since the Wilsons original offer, senior officials at the Public Health Service had held the idea of moving the entire operation of the National Institute of Health out to Bethesda from its limited facilities in Washington, D.C. With the newly expanded emphasis on research supported by the Social Security Act and the enthusiasm of the new Surgeon General, Dr. Thomas Parran, approval was gained for a major building program on the new Bethesda campus. Therefore, the strategy and plan for the NIH campus was expanded before a single building had been erected. The Public Health Service estimated that it would cost approximately $2,500,000 to construct an administration building, laboratory buildings, field offices, quarters for officers and attendants, a sewage disposal plant, road construction and necessary landscaping. On June 22, 1936, a total of $1,363,000 was appropriated for the construction of three buildings for the National Institute of Health at Bethesda. The funds were appropriated by the Emergency Construction of Buildings Act of June 22, 1936. Initial architectural sketches and space requirements for the expanded research center were begun within a month, and ground was broken for the new campus in February 1938. The first three buildings included the Administration Building (Building 1), an Industrial Hygiene Laboratory (Building 2) and a Public Health Methods and Animal Unit Building (Building 3). The buildings were occupied by the National Institute of Health by December 1938. James A. Shannon Building The leading architect for this project was Louis Adolphe Simon, at that time acting as Supervising Architect of the United States Treasury Department, an organization with which he was associated from 1896 to 1944. He was known for his severe and very conservative Colonial Revival-style structures. Out of concern for the unique nature of the site and following the neighbors protests over the nonresidential nature of the new NIH site in Bethesda, the National Capital Park and Planning Commission (now NCPC) involved itself with the design of the buildings. Frederic Delano, Chairman of the National Capital Park and Planning Commission, sent a letter in December 1936 to the Supervising Architect of the Treasury requesting that the Treasury Department employ a high-grade consulting architect to be in charge of this highly visible and important commission. To fill this need, the Supervising Architect hired John Winthrop Wolcott as consulting architect. He was a Consulting Architect with the United States Treasury Department from 1933 to 1937. Mr. Wolcott later joined the noted architectural firm of Skidmore, Owings & Merrill in 1944, and formed his own practice, Finney, Wolcott & Associates in Baltimore, Maryland, from 1947 to 1955. Mr. Delano later wrote on January 4, 1937 that, in addition to the architectural problems involved there are difficulties in designing the approaches and fitting the buildings to the topography, which in this locality is quite rough, 6 and requested the further assistance of a notable landscape architect to assist in the design of the project. Alfred Geiffert of the Landscape Architecture firm of Vitale and Geiffert, Gilmore D. Clarke, was hired to consult on the project. Mr. Geiffert is described as one of eminent and national consultant capacity, 7 and apparently was used often by the Supervising Architect of the Treasury as such. 5 Land Records of Montgomery County. 6 Letter from Frederic Delano to Wayne C. Taylor, dated January 4, 1937. 7 Notes by H.M. Boudier, dated February 13, 1937. Chapter 2 - Page 5

2.4.4 Construction of Early Buildings The Surgeon General of the Public Health Service, Thomas Parran, was heavily involved in the concept and design of the first buildings at NIH. Very early in the process, he reflected on the anticipated use of NIH and the space needed. Initially, there were no plans for a separate administration facility. Instead, each Institute would have a set amount of laboratory and office space. Included in this estimate were the Industrial Hygiene Laboratory (with most space planned for labs), which was to be Building 1; Building 2 would contain Child Hygiene, Dental Studies, Heart Disease, Malaria, Milk and Dermatoses units, which would require an equal amount of laboratory and office space; and finally, Building 3 was necessary for Epidemiology, Public Health Methods and the Statistics division, which had a unique need for consolidated tabulating space. 8 Building 6 was authorized as a separate appropriation in August 1937, when legislation was passed commissioning the construction of the National Cancer Institute (NCI). Using land donated by Helen Wilson, construction on Building 6 was begun soon after the funds were approved. The NCI building was occupied by NIH staff in 1939 and, until recently, continued to accommodate some activities of the NCI. Building 6 In June 1938, just six months into the first phase of construction at NIH, legislation was passed authorizing the construction of two additional buildings and the Officers Quarters at NIH. Buildings 4 and 5 were completed in 1941, just in time for intensive research into the diseases which plague soldiers during wartime. Building 4 initially housed the research activities of the predecessors to the National Institute of Arthritis and Metabolic Diseases, while Building 5 housed the divisions which would later become the National Institute of Allergy and Infectious Diseases. Building 8, completed in December 1946, was erected to house the expansion of the NCI staff, and over the years has served as overflow space for every Institute at the Bethesda campus. Each of these buildings has the same very distinct design of institutional, brick, Georgian Revival architecture. Buildings 2 and 3 are identical brick structures. Buildings 4 and 5 were also identical, and were created with nearly the same design as Building 6 to expedite contracting for Buildings 4 and 5. 2.4.5 Research and Growth at NIH During World War II, research at the NIH focused on the war effort, much as it had during World War I. Much of the new medical research and information disseminated during this period was connected with NIH, which was given bureau status within the Public Health Service in 1943. Although NIH was still responsible for much of the research relating to infectious diseases, its scope was enlarged to include fundamental medical research into cancers, heart conditions, stroke, and mental illness. 9 To reflect the diversity of NIH research, it was renamed the National Institutes (plural) of Health in 1948. 10 The Rocky Mountain Laboratory in Hamilton, Montana and the Biologics Control Laboratory, formed in 1902, merged with NIH s Division of Infectious Diseases and the Division of Tropical Diseases in 1948 to form the National Microbiological Institute which has been succeeded by the National Institute of Allergy and Infectious Diseases (NIAID). The Rocky Mountain Laboratories remains an active NIH/NIAID facility. It is one of the NIH facilities conducting biodefense research. 8 Letter from Thomas Parran to the Supervising Architect, dated July 14, 1936. 9 J.E. Rall, "Epilogue," in NIH: An Account of Research in Its Laboratories, London: Academic Press, 1984, p. 537. 10 National Institutes of Health 1995 Master Plan, Chapter 2, p. 6 Page 6 - Chapter 2

Over the second half of the twentieth century, NIH continued to expand, with new Institutes and programs established in response to public health demands. The Clinical Center, NIH s research hospital which once had 500 inpatient beds, was dedicated in 1953, the same year the Public Health Service became part of the newly established Department of Health, Education, and Welfare. The Bethesda campus itself continued to expand as well, with land acquisitions eventually reaching 310 acres, the present size of the site. The 1960s was a decade of unprecedented growth for NIH. In 1962, the prestigious Library of Medicine moved to the NIH campus. Furthermore, land was acquired in Baltimore and Poolesville, Maryland, and in Research Triangle Park, North Carolina, for additional research and animal holding space. 11 Expansion within the Bethesda campus has also continued with the construction of new medical research and support facilities and the incorporation of pre-existing buildings such as the Wilson Estate, the George Freeland Peter Estate, and the Convent of the Sisters of the Visitation. Current construction continues to provide accommodations for patients, researchers, medical professionals, and support staff. Each new building established on the Bethesda site represents a further commitment to medical research and national involvement in the health field. NIH is now part of the Department of Health and Human Services, and the campus currently houses 27 medical Institutes and Centers, each with its own mission. Stone House, Home of George Freeland Peter 2.4.6 The Warren Grant Magnuson Clinical Center The Clinical Center was authorized by Congress on July 1, 1944, and construction funds were appropriated in 1948 for what was to become Building 10. Dr. Jack Masur, Director of the Clinical Center from 1948 to 1951, who participated in the planning and construction of the building, explained its concepts in an article for the Journal for the American Hospital Association: In the basic planning the Public Health Service and the Public Buildings Administration sought to design a laboratory-hospital building which would provide twice as much space for research laboratories as for direct care of patients; afford proximity of scientific investigators and clinicians for free interchange of ideas and knowledge; localize the basic science and clinical research laboratories and nursing units for one disease category on each floor for a coordinated team approach. Building 10 originally comprised 1.2 million gross square feet of space and housed all patient care and clinical research functions. It was originally distinguished by the double- Lorraine -cross floor plan. A curved solarium bay element protrudes from the center at the southern elevation to vertically bisect the building. It provides a distinct image toward the southern portion of the campus. The Warren Grant Magnuson Clinical Center Although Dr. Masur explained, The most desired elements were utility and flexibility to meet the ever-changing requirements of laboratory research, patient care and administrative practices, the tremendous advances in technology and biomedical research since then put pressures on the building which could not have been forecast even by the visionary planners. Major additions such as Building 10A, built in 1959 to house surgery and now the central vivarium, the Ambulatory Care Research Facility (ACRF), built in 1980 along with an underground parking structure for approximately 1,555 cars, and countless interior modifications have attempted to adapt the building 11 Ibid. Chapter 2 - Page 7

to new demands. Currently, the Clinical Center Complex comprises a total of 2,385,000 gross square feet (not including 560,000 gsf of garage). Following the completion of the 1995 Master Plan, the NIH began construction of an 1,050,000 gross square foot addition to the Clinical Center, the Mark O. Hatfield Clinical Research Center, which is planned to be completed in 2004. The agency is also pursuing a multi-stage renovation of vacated and/or obsolete areas in Building 10 which is planned for completion in approximately ten years. The Clinical Center Complex continues to be the focus of intramural clinical research at the NIH. 2.5 The NIH Organization The NIH is a component of the U.S. Department of Health and Human Services (DHHS). The NIH is composed of the Office of the Director and 27 Institutes and Centers (ICs) all of which either conduct or support scientific research. The ICs are managed and coordinated by the Office of the Director, NIH. The following is a list of the Office of the Director components: Claude D. Pepper Building The Office of the Director (OD) The NIH Director provides overall leadership to NIH activities in both scientific and administrative matters. Although each Institute within the NIH has a separate mission, the NIH Director, appointed by the President and confirmed by the Senate, plays an active role in shaping the agency s research agenda and outlook. With a unique and critical perspective on the mission of the entire NIH, the Director is responsible for providing leadership to the Institutes for identifying needs and opportunities, especially those involving multiple Institutes. The OD includes the following functions: Research Funding and Coordination The Office of Extramural Research Provides guidance to the research Institutes on the development and management of extramural (grant, cooperative agreement, and contract) research and training programs. The Office of Intramural Research Coordinates, implements, and provides scientific direction and authority over NIH intramural research policy and programs. Policy and Communications The Office of Science Policy Advises the NIH Director and immediate staff on science policy, strategic planning, program planning and evaluation, health economics, legislative analysis, technology transfer, and special programs, and represents the NIH in these areas to the Department and Congress. The Office of Legislative Policy Advises the NIH Director, Deputy Director, OD staff, and the ICs on the full range of legislative issues, and provides leadership and direction for NIH legislative analysis, development, and liaison. The Office of Communications Plans and directs activities to communicate information about NIH programs and accomplishments to the general public, the scientific community, the medical Page 8 - Chapter 2

profession, and public advocacy groups. The Office of Community Liaison Advises the NIH Director and the Deputy Director on policies, programs, and issues involving the NIH and its community. Administration and Services The Office of Management Advises the NIH Director and staff on all phases of NIH-wide administration and management. Executive Office Serves in both a staff and operational capacity for all administrative support activities for the Office of the Director, excluding the Office of Research Services. The Office of Equal Opportunity and Diversity Management Advises the NIH Director and staff on matters related to equal employment opportunity programs and policies of the NIH. Center for Cooperative Resolution Provides overall leadership, direction, and oversight on alternative dispute resolution (ADR) policies, programs, and activities at NIH. Office of the General Counsel Provides legal counsel to the Director and administers the ethics program for the DHHS. Program Coordination The Office of Disease Prevention Coordinates the activities of disease prevention, rare diseases, dietary supplements, and medical applications of research. The Office of AIDS Research Develops a comprehensive strategic plan that identifies and establishes objectives, priorities, and policy statements governing the conduct and support of all NIH AIDS research activities. The Office of Behavioral and Social Sciences Research Advises the NIH Director and other key officials on matters relating to research on the role of human behavior in the development of health, prevention of disease, and therapeutic intervention. The Office of Research on Women s Health Advises the NIH Director and staff on matters relating to research on women s health. Institutes National Cancer Institute (NCI) Conducts, supports, and coordinates research on detection, diagnosis, prevention, and treatment of cancer. National Eye Institute (NEI) Conducts, fosters, and supports research on the causes, natural history, prevention, diagnosis, and treatment of disorders of the eye and visual system and in related fields (including rehabilitation). Chapter 2 - Page 9

National Heart, Lung, and Blood Institute (NHLBI) Provides leadership for a national program in diseases of the heart, blood vessels, lungs, and blood, blood resources, and sleep disorders. National Human Genome Research Institute (NHGRI) Provides leadership for and formulates research goals and long-range plans to accomplish the mission of the Human Genome Project, including the study of the ethical, legal, and social implications of human genome research. National Institute on Aging (NIA) Conducts, fosters, and supports biomedical and behavioral sciences research and training pertaining to the aging process and related health fields. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Conducts and supports biomedical and behavioral research, health services research, research training, and health information dissemination with respect to the prevention of alcohol abuse and alcoholism and the treatment of alcoholism. National Institute of Allergy and Infectious Diseases (NIAID) Conducts, fosters, and supports research and research training programs directed at finding the cause of and improved methods for diagnosing, treating, and preventing immunologic and infectious diseases. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Provides leadership for a national program in the major disease categories of arthritis and musculoskeletal and skin diseases. National Institute of Biomedical Imaging and Bioengineering (NIBIB) Conducts, coordinates, and supports research, training, dissemination of health information, and other programs with respect to biomedical imaging, biomedical engineering, and associated technologies and modalities with biomedical applications. National Institute of Child Health and Human Development (NICHD) Conducts, fosters, and supports biomedical and behavioral research through research grants, research contracts, and research performed in its own laboratories on: child health, maternal health, problems of human development with special reference to mental retardation; and family structure, the dynamics of human population, and the reproductive process. National Institute on Deafness and Other Communication Disorders (NIDCD) Conducts, fosters, and supports research and research training on the causes, prevention, diagnosis, and treatment of deafness and other communication disorders. National Institute of Dental and Craniofacial Research (NIDCR) Conducts and coordinates research to improve and promote craniofacial, oral, and dental health. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Provides leadership for a national program in the three major disease categories of diabetes, endocrinology, and metabolic diseases; digestive diseases and nutrition; and kidney, urologic, and hematologic diseases. Page 10 - Chapter 2

National Institute on Drug Abuse (NIDA) Provides national leadership and conducts and supports biomedical and behavioral research, health services research, research training, and health information dissemination with respect to the prevention of drug abuse and treatment of drug abusers. National Institute of Environmental Health Sciences (NIEHS) Conducts, fosters, and coordinates (in its own laboratories and through contracts, grants, and support of Environmental Health Sciences Centers) research and research training on the biological effects of chemical, physical, and biological substances in the environment. National Institute of General Medical Sciences (NIGMS) Administers, fosters, and supports research in the basic and general medical sciences and in related natural or behavioral sciences which have significance for two or more Institutes, or are outside the general area of responsibility of any other Institute. National Institute of Mental Health (NIMH) Provides leadership for a national program to increase knowledge and advance effective strategies to deal with problems and issues in the promotion of mental health and the prevention and treatment of mental illness. National Institute of Neurological Disorders and Stroke (NINDS) Conducts, fosters, and supports research and research training on the causes, prevention, diagnosis, and treatment of neurological and muscle disorders. National Institute of Nursing Research (NINR) Provides leadership for nursing research and supports and conducts research, research training, and dissemination of results to build a scientific base for nursing practice and patient care and promote health and ameliorate effects of illness on the American people. National Library of Medicine (NLM) Assists the advancement of medical and related sciences through the collection, dissemination, and exchange of information important to the progress of medicine and health. Centers Center for Information Technology (CIT) Provides leadership for the determination of NIH computational and telecommunications needs at all levels and oversees the development of appropriate infrastructure support to meet identified needs. Center for Scientific Review (CSR) Provides staff support to the Office of the Director, NIH, in the formulation of grant and award policies and procedures. John E. Fogarty International Center (FIC) Provides leadership in the development and conduct of research programs to improve the health of the people of the United States and of other nations through international cooperation, research, and research training in the biomedical sciences. Chapter 2 - Page 11

National Center for Complementary and Alternative Medicine (NCCAM) Studies the integration of alternative treatment, diagnostic and prevention systems, modalities, and disciplines with the practice of conventional medicine and as a complement to such medicine and the integration of such alternatives into health care delivery systems in the United States. National Center for Minority Health and Health Disparities (NCMHD) Advises the NIH Director and Institute and Center Directors on the development of NIHwide policy issues related to minority health disparities research, research on other health disparities, and related research training and serves as principal liaison with other agencies of the DHHS, and federal government. National Center for Research Resources (NCRR) Administers, fosters, and supports research for the development and support of multicategorical research resources needed on an institutional, regional, national, or international basis for health-related research. Warren Grant Magnuson Clinical Center (CC) Provides patient facilities and services for clinical investigations in the Clinical Center. (See also 2.4.6 above.) 2.6 The Master Plan Goals and Objectives This NIH Master Plan 2003 Update maintains the 1995 Master Plan goals to provide a realistic and orderly phased development of the Bethesda campus in furtherance of the mission of the NIH - Science in pursuit of knowledge to improve human health. This means pursuing science to expand fundamental knowledge about the nature and behavior of living systems; to apply that knowledge to extend the health of human lives; and to reduce the burdens resulting from disease and disability. The NIH seeks to accomplish its mission by: fostering fundamental discoveries, innovative research, and their applications in order to advance the nation s capacity to protect and improve health; developing, maintaining, and renewing the human and physical resources that are vital to ensure the nation s capability to prevent disease, improve health, and enhance quality of life; expanding the knowledge base in biomedical and associated sciences in order to enhance America s economic well-being and ensure a continued high return on the public investment in research; and exemplifying and promoting the highest level of scientific integrity, public accountability, and social responsibility in the conduct of science. The Master Plan supports these mission implementation strategies with the following planning goals and objectives: GOAL 1 Foster innovative research strategies designed to advance the nation s capacity to improve health. Establish a comprehensive and coordinated approach to physical development of NIH that is based on cost-effective, incremental options for growth while ensuring orderly development of the campus. Stimulate interaction and communications among scientists and staff to enhance quality of research and opportunities for interdisciplinary collaboration through adjacency of uses and creation of formal and informal meeting and gathering spaces on campus. Page 12 - Chapter 2

Create a flexible development plan that will allow for changing program needs in the future. Consider potential impacts of changes in technology and advances in research processes. GOAL 2 Provide a physical framework for the changing nature, character and urgency of medical research and education. Establish a comprehensive and coordinated approach to physical development at NIH that will ensure the orderly growth of NIH facilities. Develop building sites, open space, and transportation and circulation systems that will ensure appropriate campus facility utilization, functional land use and efficient accommodation of future program requirements. Identify short, mid, and long-term opportunities for phasing and implementation of the proposed policies and plans. Enhance campus function, efficiency and character through better definition of land use and functional relationships. Establish a coordinated land use strategy for the campus integrating plans for functions at off-campus sites. Define overall development capacity. Identify patterns of existing development and factors which potentially limit future development. Define an achievable development strategy. View Towards Convent GOAL 3 Provide a secure and supportive environment for the people involved in NIH activities, including scientists and professional/administrative staff, visitors and other non-nih users, patients and their families, and residents and students. Provide appropriate campus amenities such as child care, recreational resources, fitness facilities, convenience retail, etc. Facilitate the security, safety and well-being of those who work, visit, or reside at NIH by constructing site perimeter barriers, effectively screening for contraband and mitigating vulnerabilities through campus and building design. Enhance the quality of the research and work environment and overall campus quality. o Preserve the integrity and build upon the character of the NIH campus. o Provide guidelines for improving the quality of landscaping, open space, and architectural compatibility at NIH. o Provide accessibility to campus facilities for persons with disabilities. o Improve and enhance the pedestrian environment and linkages, and create a pedestrian scale within the larger site. o Preserve and enhance structures with established historic and cultural value, and protect and document important archeological finds. o Develop a recognizable system of landscape that enhances the quality and character of the campus. o Increase the ease of orientation and direction-finding around the campus. o Improve pedestrian and bicycle movement on campus. o Define and communicate building character and scale to achieve a perceivable and attractive identity.oprovide for the convenience and safety of employees and the neighborhood through site lighting and security. Louis Stokes Research GOAL 4 Enhance and respect the stability and integrity of the surrounding residential community. Chapter 2 - Page 13

Conserve, enhance, and increase the campus perimeter buffer zones, especially bordering the residential areas. Coordinate with and respond to various regulatory and review agencies. Engage the NIH, local agencies, and the community in an active dialogue concerning Master Plan premises and concepts by the establishment within the Community Liaison Council of Task Groups to work with NIH staff and consultants during development of the Master Plan Update. Establish the scale and height of future NIH facilities so that they have no adverse impact on adjoining neighborhoods or cultural resources. Minimize future construction near the adjoining residential neighborhoods. Protect adjoining neighborhoods from intrusion of NIH traffic, parking, noise, and intrusive lighting. Endeavor to ensure that the NIH and its activities do not contribute to security or safety issues in adjoining neighborhoods. Foster effective transportation solutions to minimize traffic and parking problems both external and internal. GOAL 5 Protect the natural resources and environmental qualities of the NIH campus and the region. The NIH Stream Identify and build upon the unique environmental qualities of the campus and enhance existing landscaping and vegetation. Maximize the use of public transportation and shared transportation, and reduce the use of the single occupancy vehicle. Enhance campus design to encourage greater NIH employee use of bicycles and walking as commuting modes. Improve and enhance bikeways and bicycle circulation on the campus. Promote energy efficiency. Improve management of storm water runoff quality and quantity above minimal State requirements, where possible. Reduce noise in adjacent residential areas caused by campus sources. Improve facilities for storage and handling of hazardous materials. Encourage environmentally sound development sensitive to surrounding neighborhoods and responsive to optimizing the campus close proximity to the Bethesda Central Business District. GOAL 6 Use the Master Plan to foster communication about NIH goals and policies. Encourage active dialogue among NIH management, the scientific community and the NIH staff, to foster a better understanding of the ramifications of proposed policies and plans. Encourage continuing active dialogue among NIH and the surrounding community as well as local, state, and federal agencies to work together on issues that affect the community and region. 2.7 Planning Methodology/Format This NIH Master Plan 2003 Update consists of six chapters. Chapter 1 is the Executive Summary. Chapters 2, 3 and 4 are oriented toward establishing background and broad guidelines, while Chapters 5 and 6 deal with specific development recommendations. Chapter 1 - Executive Summary Page 14 - Chapter 2

Chapter 2 - Introduction and Program Requirements This Chapter provides background and organizational information, defines the approach to the Master Plan Update, establishes the planning premises and identifies programmatic requirements in terms of personnel and physical facilities. It discusses the relationships between the NIH Bethesda Campus Master Plan and other long range NIH planning activities. It also places the Master Plan Update in the context of the federal government-wide focus on enhancing physical security at its facilities. Chapter 3 - The Community Context of the Bethesda Campus This Chapter provides an overview of the regional setting, places the Bethesda campus in the context of existing and future land use patterns and discusses critical relationships among the Bethesda campus and off-campus sites. It discusses the context of Bethesda-Chevy Chase, the Bethesda Central Business District, the Washington-Baltimore Metropolitan Area and the Master Plan 2003 Update s relationship to local and regional plans. The context is updated to reflect the latest NIH statistics and, where available, data from the 2000 Census and other official sources. Important aspects of the regional transportation systems, utility services, population and economy, cultural assets, and other research facilities are identified. Chapter 4 - Existing Conditions on the Bethesda Campus The existing resource analysis determines the major development features on the NIH campus. Natural and man-made elements which affect potential uses, such as physical features of the site, climate, environmental features, existing land use, utilities, historic/archaeological features, amenities and visual quality, and constraints and opportunities are identified. Changes to the existing conditions since 1995 are documented. Library of Medicine Chapter 5 - The NIH Master Plan 2003 Update for the Bethesda Campus This Chapter outlines the specific objectives, concepts and standards for future development, land use, buildings, utilities, open space, circulation and traffic management for the next twenty years. While primary emphasis in the plan update is placed on clarifying long-range development patterns, short- and mid-range opportunities are also identified. Sufficient refinement is provided to determine the character and significance of these projects. Chapter 6 - Development Guidelines This part presents specific site element recommendations that will improve overall campus continuity and character, including guidelines for density, bulk, circulation, walks, furniture, lights, signage and landscaping generally as originally provided in the 1995 Master Plan. It also reaffirms policies and procedures for implementing and controlling development in accordance with the goals and objectives of the Master Plan. 2.8 Summary of Program Findings 2.8.1 Introduction As part of this update, functional and personnel needs over the next 20 years that were projected by Institutes, Centers (and former Divisions) for the 1995 Master Plan, in responses to the questionnaire and interviews of key personnel, were revisited through new interviews and questionnaires. A copy of the questionnaire used is included in Appendix B. New personnel projections were also made by the current Institutes and Centers. Space needs for buildings not yet in the programming or planning stages were estimated based on the personnel projections. The projections are based on the William H. Natcher Building Chapter 2 - Page 15

scientific programs and missions of the Institutes and Centers and were not limited by expectations of funding or future priorities. The expected down-sizing of federal government agencies in the early 1990s did not materialize at the NIH. To the contrary, congressional and administration support of NIH programs over almost a decade has actually resulted in a growth of personnel that approximates projections by the ICs for the 1995 Master Plan. Therefore, the year 2000 campus population of 17,681 and 2003 population of 17,511, validated the original projections but defied the effects of restraints on government growth assumed in the 1995 Master Plan. These restraints led to the assumption that the Bethesda campus would not grow beyond a population of 18,000, even by 2020. While the Master Plan 2003 Update provides a framework to accommodate the estimates for growth and change in campus population and facilities over the next 20 years, actual development on campus will, as always, depend on future congressional and presidential policy decisions, as well as federal budgetary constraints. Also, vast changes in national health policy are expected to continue over the next decade as they did over the previous one, and NIH s mission could be significantly affected as a result. The Master Plan Update continues to provide guidance on how change and development would take place on the Bethesda campus, when and if it occurs over the next 20 years and beyond. Using the structure of the 1995 Master Plan findings and those coming from the latest questionnaire and interview responses, the following summarizes the findings: 2.8.2 Mission Institutes generally can be categorized by the orientation of their funding of biomedical research: by disease; for example, the National Cancer Institute (NCI); the National Institute of Allergy and Infectious Diseases (NIAID); or the National Institute of Neurological Disorders and Stroke (NINDS). In recent years, NIH has developed Centers for research on a disease or disorder where multiple ICs participate, such as the Neuroscience Research Center and the Vaccine Research Center. Future centers are also planned. by body organ or system; for example, the National Heart, Lung and Blood Institute (NHLBI); the National Eye Institute (NEI); or the National Institute of Dental and Craniofacial Research (NIDCR). by population group; for example, the National Institute on Aging (NIA); the National Institute of Child Health and Human Development (NICHD); or the National Institute on Drug Abuse (NIDA). by research discipline; for example, the National Institute of General Medical Sciences (NIGMS); the National Human Genome Research Institute (NHGRI); or the National Institute of Nursing Research (NINR). The, NHGRI, mentioned above, is an Institute created not long ago from a former Center. Three Institutes returned in late-1992 to the NIH from their affiliation with the former Alcohol, Drug Abuse and Mental Health Administration (ADAMHA); these are the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute of Mental Health (NIMH), and the National Institute on Drug Abuse (NIDA). Centers provide services to the Institutes. For example, the Warren Grant Magnuson Clinical Center (CC) and the Mark O. Hatfield Clinical Research Center (CRC) will provide the environment for clinical researchers in the intramural research programs of most Institutes. The National Center for Research Resources (NCRR) has the Page 16 - Chapter 2

multidisciplinary resources to biomedical investigators across the spectrum of research activities supported by the NIH. The Office of the Director of the NIH (OD) provides general management and policy direction for the NIH as well as specific services such as procurement, planing, design, construction, maintenance and operations. Most ICs anticipate that changes to their missions will be minor in the foreseeable future, except as new avenues of research may be revealed or as public or congressional pressure may dictate. Advances in technology and major emerging public health concerns may also influence future mission definition such as has already been the case for the Human Genome, Neuroscience, AIDS vaccine, and women s health programs. 2.8.3 Organization and Programs The most significant organizational feature of most Institutes - for purposes of master planning - is their division into intramural and extramural research functions. Intramural research is performed by NIH scientists in NIH facilities, whereas extramural research is done under NIH grants, cooperative agreements, and contracts by other researchers in other institutions nationwide. Centers may be similarly divided or may have organized their services to the Institutes to correspond to the extramural/intramural functions. All ICs have an Office of the Director which requires convenient access to the corresponding offices of the other ICs and to the Office of the Director of the NIH. All of these have offices on campus, generally in Building 31, including the Director of NIEHS and the Director of NIA. Most of NIEHS staff is at Research Triangle Park in North Carolina, while most of the NIA staff is in Baltimore, Maryland. Most Institutes have strong relationships between their Director s office and their intramural program and typically feel the need for both to be centered at the Bethesda campus while extramural programs can continue to be located off campus. Extramural programs account for the preponderance of institute research budgets - about 80% of a $27.2 billion NIH budget in FY 03. Nevertheless, it is almost unanimously felt that the intramural basic and clinical research programs are what distinguish the NIH as an institution from all others in biomedical research. NIH intramural research enjoys unique interdisciplinary character, flexibility of the course of the research and the freedom to pursue research without imposition of pre-determined duration or, in some instances, scope. With the Clinical Center, patients are physically close to researchers, and the rapidity with which clinical trials of research findings can be applied is unique in biomedical research. The grant funding of extramural research, on the other hand, requires advance definition of objective, duration and cost, and grantee institutions often cannot access patients for clinical trials with the alacrity found at the NIH Bethesda campus. Neuroscience Research Center Phase I The relationships between each IC s intramural and extramural programs vary. Most ICs however, require that extramural scientific personnel keep in touch with their intramural colleagues and scientists of other ICs as a matter of staying current with scientific progress. Intramural scientists may, at times, also be a resource to extramural grant personnel in evaluating the scientific merits of research proposals and in coordinating research in allied areas. Chapter 2 - Page 17

2.8.4 Locations and Proximities On the matter of what functions should be located on the Bethesda campus, nearly all ICs, given the choice, expressed a preference that most of their intramural research programs remain on the Bethesda campus or be relocated to the campus from currently leased locations. Extramural research grant administration personnel, most of whom are now in locally-leased space, are generally comfortable with their offcampus situation, but a few complained of intellectual isolation, lack of opportunities that foster innovative scientific interrelationships and collaboration, and the frustrations of going to the campus for meetings, seminars, or other business because of the time taken to travel between NIH facilities, the limited parking at the Bethesda campus, and the need for dependency on shuttle services. Some sites such as Research Court near Shady Grove and the NIHAC in Poolesville are not served by shuttle service because the NIH presence in those locations is too small and the demand insufficient to make shuttles economical or workable. Of utmost importance to nearly all ICs was the perpetuation of the heart of NIH - the Clinical Center Complex - with the associated intramural clinical and basic research conducted by nearly all Institutes. See 2.8.7 below for further discussion. A number of programs are already established elsewhere for reasons related to those locations such as the National Institute on Aging (NIA) at the Baltimore Gerontology Research Center (GRC) and the National Institute on Drug Abuse (NIDA) at the Baltimore Addiction Research Center (ARC). Both of these will be consolidated into a new NIH Bayview Research Center in Baltimore -a long term commitment to the location. Portions of the NCI and to a lesser degree, NIAID are located at NCI Frederick; behavioral and neuroscience research by NICHD, the NEI, and the NIMH are permanently located in Poolesville, Maryland; NIAID has a long standing presence in Hamilton, Montana where a new BSL4 laboratory dedicated to biodefense research is planned. The NIEHS is entirely located in Research Triangle Park, North Carolina. 2.8.5 Training Training biomedical research personnel is a major part of the NIH mission, and training programs exist in most ICs within both intramural and extramural programs. On the Bethesda campus extensive seminars, lectures, and conference programs conducted within all ICs generate a need for conference space. There was consistent need expressed by ICs for conference space of 50-100 persons for training and continuing education programs, lectures and seminars, as well as large conference facilities. Some of this need has been addressed with the construction of the William H. Natcher Building, and by new buildings such as Building 40 (the Dale and Betty Bumpers Vaccine Research Center) and Building 50, the Louis Stokes Research Building, which have small conference centers on their ground floors available to NIH as a whole. The increased proportion of NIH employees off campus requires more of these facilities near their users. 2.8.6 Animals in Research Animal use in research by the intramural programs is extensive at the NIH which has one of the largest veterinary resource programs for research anywhere. For intramural research, animals are scattered among buildings on the Bethesda and Poolesville campuses, in some locally-leased space, and in Frederick, Baltimore and other satellite installations. To one degree or another, most Institutes procure, house, breed and manage some inventory of their own animals, while other animals are under the management of the Division of Veterinary Resources (DVR). Although all NIH animal Page 18 - Chapter 2